REPUBLIC OF PHILIPPINES )

CITY OF DAVAO ) S.S.

X ----------------------------------------------------- X

JOINT AFFIDAVIT OF DISCREPANCY

(ONE AND THE SAME PERSON)

We, ______, a sister-in-law of ______, and ______, a cousin of the aforementioned,

are of legal age, residents of Davao City, after being duly sworn to in accordance with law,
hereby depose and say that:

1. We both personally know ______;

2. In his record with the Social Security System (SSS), his name is registered as “
______”, but in his record with the Philippine Health Insurance Corporation
(PHIC) and in his Voter’s Certification, his name was recorded as “ ______”;

3. His birthdate was registered with the SSS as “ ______”, but in the respective
records of PHIC and in his Voter’s Certification, it was registered as ______;

4. Both names “ ______” and “ ______”refer to one and the same person.

5. That we are executing this affidavit to attest to the truth and for whatever legal
purposes it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this ______ day of _________, 2022 in
Davao City.

______ ______
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of ______, 2023 at Davao City,
affiants having executed to me their respective identification cards PHIC ID - 16-200470428-
2 and ___________________, both issued in Davao City, on _______________, respectively.